Marrero D G, Kraft S K, Mayfield J, Wheeler M L, Fineberg N
Diabetes Research and Training Center, Indiana University School of Medicine, Indianapolis, USA.
J Gen Intern Med. 2000 Nov;15(11):818-21. doi: 10.1046/j.1525-1497.2000.t01-1-90907.x.
A survey was mailed to a probability sample of primary care physicians in Indiana to assess their use of and barriers to nutritional therapy for patients with type 2 diabetes. Most (62%) primary care physicians reported referring their type 2 diabetes patients for nutrition counseling, while 38% reported providing counseling themselves. Patient-centered barriers were most frequently cited as reasons for poor effectiveness of nutrition therapy. This differs from previous research that cites system-level factors as barriers.